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Don’t give red blood cells (RBC) based solely on an arbitrary hemoglobin level. Give one-unit of RBC at a time and reassess the need for more.
Choosing Wisely Canada
Choosing wisely Canada
Many any Choosing Wisely recommendations indicate that RBC transfusions are overused. In non-bleeding patients, more appropriate approaches include single unit transfusions when the hemoglobin is less than 70-80 g/L (7-8 g/dL) Conserving the blood supply during the COVID-19 pandemic is critical.
ver más ... 2020Don’t send frail residents of a nursing home to the hospital, unless their urgent comfort and medical needs cannot be met on site.
Choosing Wisely Canada
Choosing wisely Canada
Transfers can lead to risk for elder patients of contracting COVID-19. Furthermore, frail patients risk hospital-acquired infections, medication side effects, lack of sleep, and rapid loss of muscle strength while bedridden. Harms often outweigh benefits. If a transfer is unavoidable, give clear instructions to the hospital of the patient’s advance directives for care.
ver más ... 2020Don’t offer non-essential services to patients in person, if virtual tools such as telephone or online visits are available. Delay non-essential care and laboratory testing when possible.
Choosing Wisely Canada
Choosing wisely Canada
Virtual care can often meet patients’ needs in a safer way. Further, delaying non-essential care or laboratory testing may free capacity for sicker patients. However, it is imperative to maintain continuity of care for patients with chronic medical conditions.
ver más ... 2020Don’t self-prescribe or request unproven therapies to prevent or treat COVID-19.
Choosing Wisely Canada
Choosing wisely Canada
There are currently no vaccines, medications, or natural health products that are known to treat or protect against COVID-19. Using non-evidence- based treatments may expose patients to harm and lead to resource shortages. Additionally, antibiotics do not work against viral infections like COVID-19.
ver más ... 2020Don’t go to the emergency department for assessment of mild COVID-19 symptoms. Use virtual tools or screening centres if available.
Choosing Wisely Canada
Choosing wisely Canada
Individuals with mild symptoms of COVID-19 should not go to the emergency department for COVID-19 testing. Online self-assessment tools and dedicated screening centres can help people determine how to seek further care if necessary. Avoiding unnecessary calls and trips to the emergency department will help protect vulnerable patients in the emergency department, as well as health professionals caring for them.
ver más ... 2020